Brian Hunter Goldman, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY002429 Issued in GA

Practice address

347 Dahlonega St
Suite 103
Cumming, GA 30040-2409

Phone

(678) 485-6143

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Oct 17, 2017 through Oct 17, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Brian H. Goldman, PH.D., PC

  • Psychologist
  • Cumming, GA
  • NPI 1174795298
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356499685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 DAHLONEGA ST",
            "address_2": "SUITE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402409",
            "telephone_number": "678-485-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 DAHLONEGA ST",
            "address_2": "SUITE 103",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402409",
            "telephone_number": "678-485-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "BRIAN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mounika Godavarthi
• Vibha S Gode, PT
• Louis A Goehring III, M.D.
• James N. Golden, D.M.D.
• Loren Golden, CRNP
• Eli Mark Goldsmith, D.C.
• Ryan Goldsmith
• Ana Gabriela Gomez
• Garret Nelson Gomez
• Julie Anna Gomez, LCSW

• Psychologist in Cumming, GA
• Providers in Cumming, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.